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I have a patient who mutiple fracture on both calcaneus. Orthopedic surgeon did a subtalar joint arthrodesis on the left. The patient have also an equinus on the left. His left heel do not touch the ground during the gait. On the right, he has not a lot of dorsiflexion mobility. He has orthopedic insoles but he is not happy with them. So he asked us to find a podiatric solution.

These are his biomechanical exam :

MTJ in neutral position : 12 degrees left and 13 degrees right
1st ray mobility in dorsiflexion: 8mm left and 9mm right
hallux limitus : 25 degrees left and 40 degrees right
Hallux valgus : 30 degrees left and 35 degrees right, reductible (partial), is painful
Left : no mobility of the subtalar joint
Right : 15 degrees pronation and 15 degrees supination

The rest of the measures of more or lest ok.

I can send you the video of his gait iff you want.

My challenge is what kind of insoles can you make for this patient

 

What is the ankle dorsiflexion ROM measurement for both feet? Please post link to video.